We report on an 8-year-old patient with septicaemia unresponsive to therapy for five weeks. Undetected, extended-spectrum beta-lactamase (ESBL) production by the infecting Klebsiella strain was regarded as responsible for treatment failure. Intravenously administered imipenem during the sixth week led to sustained resolution of fever. Resource-limited hospitals can incur prohibitive costs from ESBL-producer infections because of diagnostic limitations and consequent treatment failure involving prolonged supportive therapy.
机构:
Brigham & Womens Hosp, Dept Pharm, Tower L2,75 Francis St, Boston, MA 02115 USABrigham & Womens Hosp, Dept Pharm, Tower L2,75 Francis St, Boston, MA 02115 USA
Enfanto, Christopher
Shin, Sonya
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Brigham & Womens Hosp, Div Infect Dis, 75 Francis St, Boston, MA 02115 USABrigham & Womens Hosp, Dept Pharm, Tower L2,75 Francis St, Boston, MA 02115 USA
机构:
Burdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, IndiaBurdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, India
Biswas, Biswajit
Mondal, Monojit
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Burdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, IndiaBurdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, India
Mondal, Monojit
Thapa, Rajoo
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Upstate Med Univ, Golisano Childrens Hosp, Dept Pediat, New York, NY 13210 USABurdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, India
Thapa, Rajoo
Mallick, Debkrishna
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机构:
St Marys Hosp, Dept Pediat, Newport PO30 5TG, Gwent, WalesBurdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, India
Mallick, Debkrishna
Datta, Asok Kumar
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Burdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, IndiaBurdwan Med Coll & Hosp, Dept Pediat, Burdwan 713104, W Bengal, India
机构:
Hop Bicetre, Serv Bacteriol Virol, INSERM, Emerging Resistance Antibiot U914, F-94275 Le Kremlin Bicetre, France
AP HP, Fac Med Paris Sud, Paris, FranceHop Bicetre, Serv Bacteriol Virol, INSERM, Emerging Resistance Antibiot U914, F-94275 Le Kremlin Bicetre, France
Cuzon, Gaelle
Naas, Thierry
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Hop Bicetre, Serv Bacteriol Virol, INSERM, Emerging Resistance Antibiot U914, F-94275 Le Kremlin Bicetre, France
AP HP, Fac Med Paris Sud, Paris, FranceHop Bicetre, Serv Bacteriol Virol, INSERM, Emerging Resistance Antibiot U914, F-94275 Le Kremlin Bicetre, France
Naas, Thierry
Guibert, Michele
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机构:
Hop Antoine Beclere, Serv Bacteriol Virol, F-92140 Clamart, France
AP HP, Fac Med Paris Sud, Paris, FranceHop Bicetre, Serv Bacteriol Virol, INSERM, Emerging Resistance Antibiot U914, F-94275 Le Kremlin Bicetre, France
Guibert, Michele
Nordmann, Patrice
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Hop Bicetre, Serv Bacteriol Virol, INSERM, Emerging Resistance Antibiot U914, F-94275 Le Kremlin Bicetre, France
AP HP, Fac Med Paris Sud, Paris, FranceHop Bicetre, Serv Bacteriol Virol, INSERM, Emerging Resistance Antibiot U914, F-94275 Le Kremlin Bicetre, France